Can real-time B mode echocardiography identify left ventricular aneurysms following myocardial infarction?
Real-time B mode echocardiography is a useful non-invasive imaging modality for identifying left ventricular aneurysms and their paradoxical wall motion post-myocardial infarction.
Abstract This paper describes two cases of left ventricular aneurysm following myocardial infarction by real time B mode echocardiography with a mechanical sector scan. The most distinctive feature was the paradoxical movement of the aneurysmal wall; in systole, it moved posteriorly to form a bulge, whereas the remaining noninfarcted area was oriented toward the left ventricular cavity in contraction. The final diagnosis was verified by aneurysmectomy.
Kambe et al. (1978) studied this question.